Carinal sleeve resection for persistent bronchopleural fistula after completion right pneumonectomy.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20338350.
- Also identified by DOI 10.1016/j.athoracsur.2009.08.017.
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Abstract
Sleeve bronchoplasty is an uncommon surgical option for the management of bronchopleural fistulae. We present the management of an individual who developed T1N0M0 non-small cell lung cancer involving the right upper lobe 20 years after right lower lobe cancer. Following completion right pneumonectomy, this patient developed a bronchial stump leak. Primary repair of the stump was performed, but failed leading to empyema and necessitated creation of a Clagett window. The size of the stump defect became sufficiently large to render the patient dyspneic and aphonic. A carinal sleeve resection was successful in managing the massive bronchopleural fistula.
Medical subject headings
- Bronchial Fistula
- Pleural Diseases
- Pneumonectomy
- Respiratory Tract Fistula
- Trachea